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1053947226
CHETTANA SANASITH
MARIETTA, GA
NPI
1053947226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
333600000X Pharmacy
Additional Taxonomies
183500000X Pharmacist
(Licence: GA RPH031592)
Enumeration Date
2020-03-19
Last Update Date
2022-12-23
Business Address
CHETTANA SANASITH PharmD
1979 CARITHERS WAY
MARIETTA, GA 30064-6012
Phone number: 678-908-9189
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Mailing Address
CHETTANA SANASITH PharmD
5707 VETERANS PKWY
COLUMBUS, GA 31904-9003
Phone number: 706-322-6253
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